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Hairline Lowering (Forehead Reduction) city, state

A high hairline or overly tall forehead can detract significantly from the harmony of the face, and draw attention away from other features such as the eyes.  In women, a larger forehead can give a more masculine appearance to the face.  Though the right proportion varies between people, an ideal female forehead is approximately 4.5 to 5.5cm tall (measuring from the eyebrow to the hairline).  The hairline is generally straight, without any significant recession at the temples laterally.  In the male face, this is typically a bit taller (about 6cm centrally) and some hairline recession is typically seen at the temples.

In many cases, Dr. Ransom can address these specific concerns with a procedure called hairline lowering or forehead reduction.  This procedure involves a carefully planned excision of skin in the upper forehead.  First, an incision is made in the hairline, often with a saw-tooth pattern for camouflage.  Then, the scalp is elevated behind the hairline onto the top of the head.  The scalp tissue is then gently stretched using specific surgical techniques, and brought forward in front of the incision.  The scalp flap is then anchored in place with an absorbable surgical implant.  The excess forehead skin is then carefully trimmed to meet the new hairline, and the incision is closed meticulously in two layers with tiny sutures. Sutures remain in place for about a week after the procedure, and are removed in the office.

Dr. Ransom is a specialist in all types of brow and forehead surgery, and will help you select the right approach for your specific case and aesthetic goals.  For patients with an asymmetric hairline or brow (one side obviously higher than the other), an open surgical treatment of the forehead helps to achieve the best results.  For men with significant hair loss and a heavy brow, a variety of approaches can be used to elevate the brows without elevating the hairline or leaving obvious, unsightly scars in the scalp – ensuring natural-appearing results.  For more information, see the Procedures for Men section.  Hairline lowering (forehead reduction) can be combined with other facial rejuvenation or reconstructive procedures, and is particularly effective when the eyelids are addressed at the same time.

Who is a candidate?

Anyone with a high hairline or tall forehead may be a candidate.  Special consideration is needed for women with very thin hair and men who are bald or have significantly receding hairlines.  In some cases, patients are better suited for hair transplant techniques, either alone or in combination with hairline lowering.  Comprehensive rejuvenation of the entire forehead, brow, and eyelid complex can be discussed with Dr. Ransom at your consultation.

Frequently Asked Questions

Question: What is the recovery like after hairline lowering (forehead reduction)?
Answer: For the first night after the procedure, patients wear a soft cotton dressing.  Bruising and swelling peak on day two, and then decrease steadily.  This typically takes about a week, but may be faster or slower for some patients.  Incisions require minimal daily care and are easily hidden under bangs or a hat.  Sutures are then removed a week after the procedure.  Keeping the head elevated is very helpful for the first few days.
Question: Will hairline lowering (forehead reduction) change the shape of my forehead?
Answer: The design of the incisions can be used to make limited changes in the shape of the forehead in some cases.  For most patients, a simple decrease in the height of the forehead is desired, rather than obvious changes in forehead shape.  The exception are women with some temporal hairline recession.  These patients require special consideration.  Finally, for patients with some asymmetry of the forehead, hairline lowering can be used to improve symmetry.
Question: When can I go back to work after hairline lowering (forehead reduction)?
Answer: Forehead reduction or hairline lowering involves incisions placed in the hairline.  There is bruising and swelling in the scalp region, but this is generally hidden beneath the remaining hair.  Sutures are easily hidden by styling the remaining hair with bangs, or by wearing a hat.  Patients may be able to return to work within a couple days of the procedure, though with limits on any straining and lifting.

Please note that all patients are different and individual healing times and results may vary. The statements regarding procedures and recovery made here are general rules.

Our Patient Reviews

San Francisco Center for Facial Plastic, Reconstructive & Laser Surgery

5 / 5.0

Based on 23 reviews

Christina G.

I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!

Tk I.

I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!

Joey B.

I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.

Edward T.

Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.

Lisa C.

Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.

Cheryl H.

Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.

Jill P.

I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.

Arielle C.

Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.